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KMID : 0614619940260020316
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Korean Journal of Gastroenterology
1994 Volume.26 No. 2 p.316 ~ p.320
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Malignent Tumors of Biliary Tract Associated with Choledochal Cysts
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우재순
정재복/송시영/강진경/박인서
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Abstract
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Although congenital choledochal cyst is a relatively rare developmental anomaly, several recent articles have drawn attention to the seemingly increased incidence of malignant tumors complicating it. During the period from Mar. 1973 to Mar. 1993,
we
encountered 5 cases (7.7%) of choledochal cyst with malignant tumors of biliary tract among 65 cases of choledochal cyst. Teh00 frequency of the associated cancers were in order of GB cancer (3 cases) and extrahepatic bile duct cancer(2 cases) in
the
cyst. In particular, a close etiologic relationship was suggested between those with associated anomalous pancreaticobiliary ductal union and the gallbladder carcinoma. For this reason, as well as the prevention of later development of cancer in
the
wall of the cyst, wide excision include cyst combined with reconstructive operation and cholecystectomy is recommended as the treatment of choice for the choledochal cyst. (Korean J Gastroenterol 1994 ; 26 : 316~32)
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KEYWORD
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